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Plan effective from 1st May 2015

GloHealth Table of Benefits Best Choice Plan


In-Patient Benefits Level Of Cover
Consultants fees Covered
In-patient scans Covered
Public Hospital - Multiple occupancy room Covered
Public Hospital - Private room Covered
Public Hospital - Day case Covered
Covered subject to a 75 excess per claim and a 2,000 co-payment on certain
Private Hospital - Semi-private room
orthopaedic procedures (including Beacon Hospital)
Covered subject to a 100 excess per night and 2,000 co-payment on certain
Private Hospital - Private room
orthopaedic procedures (including Beacon Hospital)
Private Hospital - Day case Covered (including Beacon Hospital)
Covered in Beacon Hospital subject to 75 excess per claim.
High-tech Hospital - Semi-private room
Blackrock Clinic & Mater Private 50% cover.
Covered in Beacon Hospital subject to 100 excess per night.
High-tech - Private room
Blackrock Clinic & Mater Private 50% cover of semi-private rate.
High-tech - Day case Covered
High-tech - Listed cardiac procedures Covered subject to a 75 excess
Covered in Beacon Hospital subject to 75 excess per claim.
High-tech - Listed special procedures Blackrock Clinic & Mater Private 90% cover.
2,000 co-pay for orthopaedic procedures applies to all high-tech hospitals.

Maternity Level Of Cover


Public hospital cover - private room 3 nights - specific to routine delivery, otherwise subject to in-patient benefits
In-patient maternity consultant fees 865
Kids Free until 3

Out-Patient Benefits Level Of Cover


Individual out-patient excess 150
Family out-patient excess 200
Maximum amount of out-patient benefits per policy year 5,000
Consultant fees (non-maternity) 60 per visit
GP 20 per visit
A&E charge 60 x 1 each year
Medical & surgical appliances Covered as per list available at www.GloHealth.ie
Manual lymph drainage Up to 300
Pathology cost of test 50% per test
Pathology consultant fees 50% per consultant fee
Radiology cost of test 50% per test
Radiology consultant fees 50% per consultant fee
MRI, CT and PET Scans approved centres Covered - direct settlement
MRI, CT and PET Scans non-approved centres Covered up to 250 subject to out-patient excess

Stress & Psychiatric Level Of Cover


Not related to substance abuse 100 days excluding St. Patricks Hospital
Related to substance abuse 91 days over 5 years excluding St. Patricks Hospital

Other Benefits Level Of Cover


Convalescence benefits 26 x 14
100 per day x 15 days
Cancer support benefit
(for accommodation expenses when travelling more than 50km)
Nurse 24/7 Full access to medical support line 24 hours a day
Medical ambulance costs Covered if medically necessary
Companion Expenses 25 x 2

From 1st January 2014, a semi-private room or a public ward in a public hospital is defined as a multiple occupancy room.
Some of our hospital classifications have changed, please go to GloHealth.ie for the up-to-date hospital listing.

GloHealth Financial Services Limited trading as GloHealth is regulated by the Central Bank of Ireland. GloHealth health insurance policies are underwritten
by Great Lakes Reinsurance (UK) S.E. Great Lakes Reinsurance (UK) S.E. is authorised by the Prudential Regulation Authority and regulated by the Financial
Conduct Authority and the Prudential Regulation Authority in the UK and is regulated by the Central Bank of Ireland for conduct of business rules. Terms 9
and Conditions apply.
GLO-60000-15_Rev2

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